Request for Faculty and Medical Staff Appointments New Faculty 2025

1. Click ‘Get Form’ to open it in the editor.
2. Begin by entering your name, anticipated start date, date of birth, and social security number in the designated fields. Ensure accuracy as this information is crucial for processing your appointment.
3. Select your faculty appointment type (New or Additional) and proposed rank. Fill in the academic department and any secondary departments if applicable.
4. Indicate your status (Full-time, Part-time, Volunteer, etc.) and specify the division. If tenure is requested, select 'Yes' or 'No' accordingly.
5. For the medical staff appointment section, choose your status (Active, Affiliate, etc.) and provide details about your clinical department and service line.
6. Complete the clinical billing information section and describe the clinical services you will provide. Be thorough to ensure clarity.
7. Attach any required documents such as your CV and references before submitting the form via email as instructed at the end of the document.

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